Individual
ESTHER SUE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2990 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA 30044-5872
(770) 978-6475
Mailing address
3820 LAKESIDE WALK DR NW, LILBURN, GA 30047-2889
(678) 907-3828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025096
GA
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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